NPI | 1679549018 |
---|---|
Former Name | SHENEN LEAVITT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 3379) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 3379) |
Enumeration Date | 2006-02-26 |
Last Update Date | 2016-05-16 |